The Fairlawn Swim & Tennis Club, Inc.

APPLICATION FOR MEMBERSHIP

Return to:

Teri Hess

2367 Amesbury Rd

Akron, Ohio 44313

330.864.1050

The sponsor is to complete the following application for membership. Sponsors should sign and return this application to the address shown above along with 2 letters of recommendation from current members.

Name: ______________________________ Home Phone: ________________________

Address: ________________________________________________________________

City: _____________ State: _____________ Zip: ______________

Occupation: _______________________________________ Date of Birth: __________

Business Address: ________________________________________________________

Business Phone Number: _______________________

Spouse’s Name: ____________________________________ Date of Birth: __________

Affiliations & Clubs: ______________________________________________________

_______________________________________________________________________

Children’s Names Date of Birth

__________________________________________ ________________________

__________________________________________ ________________________

__________________________________________ ________________________

_______________________________________ ______________________________

Sponsor’s Signature Date Applicant’s Signature Date

_______________________________________ ______________________________

Print Name Print Name